Individual
DR. TATIANA STAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
21475 RIDGETOP CIR, SUITE 200, STERLING, VA 20166-6580
(703) 444-3710
(703) 444-8607
Mailing address
21475 RIDGETOP CIR, SUITE 200, STERLING, VA 20166-6580
(703) 444-3710
(703) 444-8607
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401414554
VA
Other
Enumeration date
05/29/2014
Last updated
03/01/2015
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